Lenzen - Registration Form

  Sonoma County Genealogical Society Spring Seminar


21 April 2012



 Pre-Registration Form
(Please complete one form for each registrant)


Mail before 14 April 2012 to Registrar Audrey Phillips , 96 Eastside Circle, Petaluma, CA 94954-3609.



________________________________________________________________________
Name


 ________________________________________________________________________
Street Address, City, and Zip

________________________________________________________________________
Phone number and email address


Enclosed please find my check for $_____ which includes:

___ $25 (SCGS member registration)
___ $30 (non-member registration)
___ $12 (box lunch - includes drink); choose one:


 ____Turkey on whole wheat
____ Ham on rye
____ Green salad


There are other options near by or you may brown bag it.

Your check, made payable to Sonoma County Genealogical Society, must be received by 14 April 2012.





Your check is your receipt. No refunds will be made.